My medicare for all plan: 1 Everyone gets catastrophic coverage - I don't know, maybe costs over 50K in a year, with anything NOT 100% necessary exempted. I know we'll have to argue over a few things, but no purple pills for men, and not cosmetic surgery for adults unless it is needed as a result of some accident.... 2. Everyone gets an HSA with 1000 per year from the government, that money is invested in teh market, and never goes away until you spend it. You can spend it on HC costs, or HC insurance. 3. Private insurance exists for everything below catastrophic coverage. 4. Employers and employees no longer get tax advantages for insurance to be offered through employers...break the requirement I be employed with a W2 to have affordable insurance. Pay for this by killing medicare and medicaid, with older people still getting regular medicare as a transition (and by reducing subsidies of other kinds, of which I have not laid out here, as I ahven't looked a the budget in years). At one time, this was affordable, but I don't know what the exact numbers are any more.....